Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1790881498 · PORTLAND, OR 97220 · Clinic/Center · NPI assigned 09/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$553K
Total Medicaid Paid
21,215
Total Claims
19,246
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY FOR ENROLLMENT)
NPI Enumeration Date09/16/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,677 $175K
2019 2,614 $155K
2020 1,664 $107K
2021 2,429 $24K
2022 2,550 $34K
2023 4,103 $30K
2024 5,178 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,579 11,364 $452K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,544 1,348 $50K
90832 Psychotherapy, 30 minutes with patient 464 340 $15K
99215 Prolong outpt/office vis 289 260 $12K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 926 881 $10K
96152 441 242 $6K
90791 Psychiatric diagnostic evaluation 14 14 $2K
98968 122 76 $1K
90686 111 110 $1K
90656 49 49 $921.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 99 $763.99
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 13 $472.28
99443 13 12 $403.10
96150 12 12 $315.60
0064A 16 13 $240.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $79.11
36415 Collection of venous blood by venipuncture 15 12 $27.27
3074F 1,763 1,716 $0.00
3079F 453 447 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 275 273 $0.00
3075F 110 110 $0.00
1123F 45 44 $0.00
H0049 Alcohol and/or drug screening 56 56 $0.00
3078F 1,683 1,637 $0.00
3077F 79 79 $0.00
99421 27 27 $0.00